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If you have kidney disease, consult your doctor, as carnitine clearance is reduced

At Better Med Spa, Dihexa is prescribed off-label under clinician supervision through a licensed compounding pharmacy

[5] [6] The American College of Cardiology, American Heart Association, and American Diabetes Association now recommend GLP-1 receptor agonists with proven cardiovascular benefit for patients with type 2 diabetes and established atherosclerotic cardiovascular disease, regardless of baseline hemoglobin A1c levels

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Patients with severe heart failure or arrhythmias require monitoring because rapid shifts in free-fatty-acid metabolism can influence myocardial substrate utilization

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